{"npi":"1982764643","type":"NPI-2","status":"active","name":{"display":"Cherry Street Services, Inc.","other":[],"organization_name":"CHERRY STREET SERVICES, INC.","authorised_official":"Tasha Blackmon"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"104100000X","description":"Social Worker","primary":false,"state":"MI","license":null},{"code":"122300000X","description":"Dentist","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"MI","license":"4301056818"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"MI","license":"4301082271"},{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1800 TREMONT BLVD NW","city":"GRAND RAPIDS","state":"MI","postal_code":"495044868","country_code":"US","phone":"6167916593","fax":"6167916729"},{"purpose":"MAILING","street_1":"100 CHERRY ST SE","city":"GRAND RAPIDS","state":"MI","postal_code":"495034526","country_code":"US","phone":"6169658200","fax":"6169405366"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20131205001930","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"MI","pac_id":"6800707647"}]},"enumeration_date":"2006-12-11","last_updated":"2023-08-25","_meta":{"source":"NPPES","snapshot_date":"2023-08-25","doc_url":"https://findmynpi.com/api"}}